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Date: Thu, 23 Mar 1995 16:35:24 -0400 (EDT) 
Subject: Naval Service Medical News (NSMN) 95-12 

R 230246Z MAR 95 ZYB 




653-1315/TEL-.DSN 294-1315// 


(950090) -CNO Extends Accolades to Navy Medical Department 
(950091) -MSC Officers Recognized for Excellence by ACHE 
(950092) -Naval Hospital's BEQ Receives Four-Star Rating 
(950093) -NNMC Corpsman Heads for Naval Academy, Class of '99 
(950094) -Navy and Civilian Partnership is Win-Win Situation 
(950095) -CPR Training Saves Lives — Sometimes the Teacher's 
(950096) -USUHS Offers CME on the Internet 

(950097) -Navy Nurses Provide Corpsmen with LVN Review Classes 
(950098) -Prescription Musts for Mail-order Pharmacy Project 
(950099) -Naval District Washington's Uniform Shift Coming 
(950100) -NDC Newport Change of Command (para 3) 
(950101) -Cote Retires with Legion of Merit after 42 Years 

HEADLINE: CNO Extends Accolades to Navy Medical Department 

CNO Washington (NSMN) — The recent presentation of American 
Hospital Association awards to two Navy Medical Department 
officers attracted the attention and praise of Chief of Naval 
Operations ADM J.M. Boorda. In a letter to Navy Surgeon General 
VADM D.F. Hagen, MC, the CNO said: 

"I was very pleased to learn that, for the first time in the 
history of these prestigious awards. . ., two members of the same 
service won the awards and those members are our Navy shipmates! 

"Rear Admiral Hal Koenig is the 1994 winner as the Federal 
Health Care Executive . Commander Dan Snyder is the winner of the 
Award for Achievement . I could not be prouder of these two 
professionals nor of the Navy medical team on which they serve. 

"Please give a very well deserved BZ to Hal and Dan. Share 
it also with your other team members. They are the best!" 

The CNO also penned a personal note, which the Surgeon 
General heartily endorses: "Well Done to all!" 


HEADLINE: MSC Officers Recognized for Excellence by ACHE 

NMC Portsmouth, VA (NSMN) — At a recent meeting of the 
American College of Healthcare Executives, two Medical Service 
Corps officers from Naval Medical Center Portsmouth were honored 
by the ACHE's "Federal Sector Awards Program" — LCDR John W. 
Tempesco, MSC, received ACHE's Military Excellence in Managed 
Care Award; LT Terri L. Butler, MSC, received the Navy Regent 
Young Healthcare Executive Award. 

Tempesco is currently officer in charge, Building No. 1, NMC 
Portsmouth. A past project manager for the Navy's only Catchment 
Area Management Program, in Charleston, SC, Tempesco served as 
head, Managed Care, Navy Managed Care Program, from June 1992 to 
December 1994, where he made significant contributions to the 
Navy's progress in understanding managed care practice 
philosophy . The catalyst for major modification of the fiscal 
intermediary contract supporting Tricare Tidewater, he negotiated 
numerous partnership agreements at significant cost savings to 
the government; coordinated development, testing and 
implementation of the first Catchment Area Management Information 
System (CAMIS) ; and served on number DOD-level working groups. 
He frequently appeared before Congress, DOD, Navy commands and 
civilian audiences to address managed care issues. 

Butler, who currently serves as the aide to the commander, 
Naval Medical Center Portsmouth, received the Young Healthcare 
Executive Award for her superb working knowledge of the local 
health care environment and her contribution to the operational 
excellence and capability of the Naval Medical Center. She was 
instrumental in the development of the managed care directorate 
as a philosophy of practice to facilitate changes in business 
practices . As a subject matter expert on pre-authorized 
preventive services under the Tricare Prime program, she authored 
sections of the Tricare Prime Beneficiary Handbook and was 
instrumental in its layout design. 

Congratulations to both LCDR Tempesco and LT Butler on their 
accomplishments . 


HEADLINE: Naval Hospital ' s BEQ Receives Four-Star Rating 

NAVHOSP Pensacola, FL (NSMN) — Naval Hospital Pensacola's 
Bachelor Enlisted Quarters (BEQ) — a 12-person enlisted living 
facility located on the northeast corner of the naval hospital 
compound — received a "Four-Star Outstanding" rating by the 
Bureau of Naval Personnel ' s Management Assistance and Inspection 
Team (MAIT) during an inspection in January. 

Only seven of 1 15 BEQs inspected during the past two-and- 
one-half years have received a rating of "outstanding. " Naval 
Hospital Pensacola's BEQ is the first Bureau of Medicine and 
Surgery affiliated facility to receive a rating of outstanding, 
according to inspection team members. 

And on top of the outstanding, the inspection team gave the 
hospital BEQ a "four-star" rating, the highest and most 
distinguished honor that can be earned for a BEQ within the Navy. 

"We are certainly proud of our BEQ staff and residents for 
making this facility amongst the best throughout the Navy, " said 
Commanding Officer CAPT Marion Balsam, MC. "Additionally, it was 
certainly inspiring to see that our BEQ staff took such pride in 
their quarters as reflected by their starting a self-help 
program" to refurbish the facility. 

Balsam also recently presented the BEQ Manager, MSC Mildred 
V. Pereira, with a Navy Achievement Medal for her management of 
the facility. 

"Chief Pereira displayed meticulous attention to detail and 
superior resourcefulness abilities, " said Balsam. "She spent 
numerous off-duty hours in preparation for this inspection. 
Chief Pereira was directly responsible for our BEQ earning such 
an outstanding rating. " 

Pereira, a native of San Diego, works in the Operating 
Management Department of Naval Hospital Pensacola. 


HEADLINE: NNMC Corpsman Heads for Naval Academy, Class of '99 

NNMC Bethesda, MD (NSMN) — What does a young person do 
these days to further his or her education? Set a goal and go 
for it . 

HM3 Charles F. Gould Jr. set his goal at obtaining a higher 
education and now the U.S. Naval Academy will provide him with 
that. Gould, senior corpsman for the National Naval Medical 
Center's Ward 5 West, was notified earlier this year that he has 
been accepted to and will be part of the class of 1999 at the 
Naval Academy. 

"My division officer suggested I apply to the Naval 
Academy, " said Gould. "It was quite a process. I needed a 
letter of endorsement from the command, letters of 
recommendation, all my high school and college transcripts, SAT 
scores, and had to write an essay and pass a physical . I really 
had a lot of help from HM2 High, my LPO. I never would have had 
all the administrative detail and correspondence that my package 
needed if it hadn't been for him. " Gould also credits his 
successful application to others, "like Lieutenant Porter and 
Lieutenant Commander Raderstorf, my division officers. They 
pushed me through. Captain Huber knew what steps to take with 
the Academy to get my package through. It was close, we had a 
January 31 deadline and I turned it in January 29. Because of 
the proximity to Annapolis, I walked everything through instead 
of sending it through the mail, which I think helped. " 

Gould, who joined the Navy in 1993 and attended hospital 
corpsman "A" school, isn't quite sure what he wants to study at 
the academy, but says he wouldn't mind becoming a Marine Corps 
officer. He reports to the Academy 30 June to begin plebe 
summer, which is an orientation process for all freshmen. After 
spending four years at Annapolis, he must obligate service for 
six more years. 

"I 'm still a bit overwhelmed at the whole thing, but there 
is no turning back now, I'm going, " he said. "I don't think I've 
stopped grinning since I was notified of my acceptance. Little 
things don 't bother me as much now, I have a higher goal to 

achieve. " 

Condensed from a story by J02 Sue Roland 


HEADLINE : Navy and Civilian Partnership is Win-Win Situation 

NAVHOSP Newport, RI (NSMN) — It ' s amazing what aggressive 
Navy surgeons and an innovative command can do. Building on a 
foundation set in 1991, when Naval Hospital Newport finalized an 
external partnership agreement with a local community hospital to 
provide all inpatient and ambulatory surgical care for military 
beneficiaries while outpatient care and select procedures were 
done at the Navy facility, Navy general surgeons at Naval 
Hospital Newport have recently expanded their scope of care. 
For instance, general surgeons at Newport aggressively 
sought and received vascular and thoracic privileges, using the 
civilian hospital ' s intensive care commitment and operating room 
availability. This flexibility recently allowed Navy surgeons, 
using civilian facilities, to complete surgery for an abdominal 
aortic aneurism and also to save the leg of a second patient with 
reversed vascular occlusion, averting the necessity of an 
amputation . Both procedures not only provided patients immediate 
access to a high level of quality care, they resulted in 
significant savings to the Navy by avoiding the cost of a medevac 
to one of the military's major medical treatment facilities . 


HEADLINE: CPR Training Saves Lives — Sometimes the Teacher's 

NMCL Annapolis, MD (NSMN) — In Annapolis, the staff of the 
Education and Training Department of the Naval Medical Clinic is 
dedicated to the goal of training every member of the Naval 
Academy family in the art of saving a life through 
cardiopulmonary resuscitation. 

HM1 Terry Tilson says they saw a need to train everyone in 
this lifesaving technique. While most active duty members and 
civilian employees are required to know CPR, families are not. 
The clinic' s weekly evening programs provide an easy way for 
employees and family members to learn CPR. 

The time to learn CPR is before you need it. And Tilson has 
first-hand proof that the time to teach it is before you need it 
too. In 1980, he was on a Mediterranean cruise with a Marine 
platoon; they decided to go snorkeling. With several hours to 
wait before they could go, Tilson decided to put the time to good 
use and teach the group CPR. Three hours later, while 
snorkeling, Tilson was stung by a sea anemone and had a cardiac 
arrest under water. A Marine sergeant he had just taught pulled 
Tilson from the water and performed CPR, saving his teacher's 
life. "I'm walking proof it works, " Tilson said. 


HEADLINE: USUHS Offers CME on the Internet 

USUHS Bethesda, MD (NSMN) — The Uniformed Services 
University of the Health Sciences recently announced a new 
feature available on the World Wide Web server of its Department 
of Pathology — "Continuing Medical Education (CME) on the 

Internet." USUHS President James A. Zimble, MD, calls the 
offering "truly a major milestone in the utilization of 
interactive telemedicine . " 

The URL (Universal Resource Locator) of the server is: . The initial offering on the 
server, Cases for Diagnosis : Surgical Pathology, features 
presentations of patient radiographs, imaging studies, 
photographs of gross and microscopic specimens together with 
patient case histories in a case study page. The thumbnail 
images that are shown are linked to larger black and white or 
color photographs (24-bit) . Links to a question page, comment 
pages and to other relevant pages on the server are provided. 
With WWW browsing software, such as Mosaic or Netscape, relevant 
links are easily navigated by a simple click of the mouse. 

This course is designated as a continuing medical education 
activity for one hour of Category 1 credit for the Physician' s 
Recognition Award of the American Medical Association. In order 
to receive credit, participants must return a question form to 
USUHS. A convenient response page linked to every case is easily 
completed and returned by typing the required reply or clicking 
on selected answers. A certificate of participation will be sent 
electronically to the responders. Two weeks after the initial 
presentation of cases, the diagnosis and case discussion are 

For more information about the course, contact the course 
director, LTC Richard Conran, MC, USA, at DSN 295-3454 or (301) 
295-3454. For technical instructions on how to connect, contact 
Mr. Jim Hernandez, USUHS ' s World Wide Web administrator, at DSN 
295-3237 or (301) 295-3237. 


HEADLINE: Navy Nurses Provide Corpsmen with LVN Review Classes 

USNH Guam (NSMN) — The director of Nursing Service at U.S. 
Naval Hospital Guam, CDR A. Shimkus, NC, recently challenged the 
hospital ' s nurses to think of how to best help hospital corpsmen 
advance professionally and personally . 

One way they discovered was that corpsmen could challenge 
the Licensed Vocational Nurse (LVN) Exam after validating 
successful completion of basic hospital corps school and one year 
of inpatient hospital experience, according to the Guam and 
California Nurse Board of Examiners. 

With the additional benefit of positively impacting the 
quality of care, LT Linda Nichols, NC, USNR, eagerly coordinated 
the hospital ' s first LVN Review Course in spring 1994, which was 
well attended by both military personnel and people from the 
civilian community. The course also provided corpsmen additional 
opportunities to review for advancement exams. 

Offering classes once a week after normal working hours, 18 
Navy Nurse Corps officers volunteered to prepare and teach a 
comprehensive range of topics, such as: nursing process, anatomy 
and physiology, pharmacology, care of patients in various 
developmental stages, obstetrical nursing, disaster/ emergency 
nursing, and psychiatric nursing. Thus far, about six people are 
in the application process or have successfully completed the 

exam. HM3 Walter Silverman was one of the first to pass the 
California LVN Examination. 

LT Ana Stoehr continued the tradition in 1995, revising the 
curriculum to better meet the needs of the students . She calls 
it a "win-win" situation for everyone — an excellent review of 
the basics of patient care for advancement and licensure and an 
opportunity for "instructors" to improve their teaching skills. 
Story by CDR Jean E. Quindag-Raffels, NC, assistant director, 
USNH Nursing Service 


HEADLINE : Prescription Musts for Mail-order Pharmacy Project 

BUMED Washington (NSMN) — The DOD Mail Service Pharmacy 
Demonstration (MSPD) was implemented in 1994 in two multistate 
regions — Florida, Georgia and South Carolina, and Pennsylvania, 
New Jersey and Delaware. 

Recently, a representative of the contractor, Health Care 
Services, Inc., briefed program managers at the Bureau of 
Medicine and Surgery on the first three months of MSPD's 
operation . 

The monthly volume of prescriptions filled under the MSPD is 
growing rapidly, but is still significantly less than 
anticipated . One problem is that military providers do not 
include all required data elements on prescriptions . If you 
write a prescription that is to be filled through the MSPD, be 
sure to include on each prescription document your identification 
information — printed name, address, telephone number and social 
security number of prescriber . Also include the date, 60 day 
supply authorized and the number of refills authorized. 

Another reason for the lower than anticipated volume is that 
patients are not aware of this service and what it has to offer. 
CHAMPUS-eligible beneficiaries in the two multistate areas can 
get 60-day prescriptions filled through the mail for copayments 
of either $4 (active duty family members) or $8 (all others) per 
prescription . 

Depending on your location, Medicare-eligible beneficiaries 
can also take advantage of the MSPD. During 1995, those in the 
BRAC-site catchment areas of Orlando, FL, and Philadelphia will 
become eligible for MSPD. Also, the 1995 Defense Authorization 
Act extends eligibility to Medicare-eligible beneficiaries who 
are outside BRAC catchment areas if they relied upon the pharmacy 
services at a BRAC site medical treatment facility. 

Not only is the MSPD more convenient for patients, it ' s more 
cost-effective for the Department of Defense. 

If you think you 're eligible for this service and would like 
more information, contact your health benefits advisor. 

If you're writing prescriptions for the MSPD, be sure to 
include all required information. Health care providers and HBAs 
needing more information can contact BUMED ' s CDR P. Buss, MC, at 
DSN 294-1701 or (202) 653-1701. 


HEADLINE: Naval District Washington's Uniform Shift Coming 

NDW Washington (NSMN) — If you 're headed to the Washington 

area, you'll want to know that the shift to summer uniform will 
be effective in Naval District Washington 0001, 1 May 1995. 

In a message issued last month, NDW stated "the prescribed 
uniform of the day is summer white for officers and chief petty 
officers; service dress white for E-6 and below. The alternate 
uniform is summer khaki (CNT fabric) for officers and chief petty 
officers; summer white for E-6 and below. " There will be no 
transition period. 

If you're coming to town to conduct official business on 
Capitol Hill, the prescribed uniform remains service dress blue. 


3. Changes of Command: Information on new assignments of Navy 
Medical Department leaders. 

HEADLINE: NDC Newport Change of Command 

NDC Newport, RI (NSMN) — In a change of command ceremony 23 
February 1995, CAPT Leon R. Escude Jr., DC, relieved CAPT Robert 
L. Jucovics, DC, as commanding officer, Naval Dental Center 
Newport . 

Jucovics , commanding officer of the Naval Dental Center 
since July 1992, will report as the commanding officer, Naval 
Dental Center Great Lakes, IL, in March. 

Escude was previously director of the Branch Dental Clinic 
at the U.S. Naval Academy in Annapolis, MD. 


HEADLINE: Cote Retires with Legion of Merit after 42 Years 

NAVHOSP Newport, RI (NSMN) — In a change of command 
ceremony held 2 December 1994, CAPT Charles Henderson III, MSC, 
relieved CAPT Robert R. Cote, MSC, as commanding officer, Naval 
Hospital Newport . 

Henderson previously served as commanding officer, Naval 
Hospital Patuxent River, MD. 

Cote had served as Newport 's commanding officer since 30 
March 1993. He retired with 42 years of naval service, and 
received a Legion of Merit in recognition of his outstanding 
contributions to Navy medicine . Although he retired from the 
Navy, Cote did not retire from the health care arena. He 
accepted a position as director, Health Services, at the 
University of Rhode Island. 


4 . Events, observances and anniversaries for the month of April 
and 1-11 April: 


National Alcohol Awareness Month (212/206-6770) 

Cancer Control Month (404/329-5739) 

Child Abuse Prevention Month (312/663-3520) 

Month of the Military Child 

Stress Awareness Month 

National Occupational Therapy Month (301/652-2682) 

National Sexually Transmitted Disease (STD) Awareness Month 

Sports Eye Safety Month (1-800-331-2020) 

National Youth Sports Injury Prevention Month (617/449-2499) 

National Humor Month (408/624-3058) 

Mathematics Education Month 

Keep America Beautiful Month 

1 April - 1 May: Annual Savings Bonds Campaign 

1 April 1925: 1st carrier night landing made on Langley 

1 April: April Fool's Day 

2 April, 0200: Daylight-saving time begins; set clocks 
ahead one hour 

2 April 1948: Dental Technician Rating Established 

2 April: International Children's Book Day 

3 April 1860: Pony Express started 

3—9 April: Healthcare Access Personnel Week — "We Admit We 
Care" (202/857-1125) 

6 April 1830: Mormon church organized 

7 April: World Health Day 

7-9 April: Alcohol-Free Weekend (212/206-6770) 

9 April : Palm Sunday 

9 April 1865: General Robert E. Lee, CSA, surrendered to 
Lt.Gen. Ulysses S. Grant, USA, ending the Civil War, which began 
12 April 1861, with shots fired on Fort Sumter, Charleston, SC 

9-15 April: National Building Safety Week (703/437-0100) 

9-15 April: National Library Week — "Libraries Change 
Lives" (312/280-5044/1 or 1-800-545-2433, ext. 5044 or 5041) 


DSN 294-0793. FAX (202) 653-0086, DSN 294-0086. E-MAIL